Please forgive my question as I know it has been asked many times here. I have literally spent several days reading all the posts and comments that have “high deductible” in the comments, searching for information. However, some of the comments in the posts get off topic quickly (Medicare Advantage and Part D, for example). I need to have a Medicare Supplement plan by June 1 (I currently have employer insurance until June 27). So I thought I would ask here with my specifics regarding the Plan G and HD Plan G given everyone's experience and helpful advice. I would not have posted this if I didn't require some guidance since the supplement plans are not easy to change (in Florida) once in place. I envy people in states that can easily switch plans with no underwriting.
My information:
- Started Medicare Part B 1/1/26
- Florida, so I cannot change between Plan G and HD Plan G without underwriting.
- AARP UHC Plan G is 309.46 per month and the HD Plan G is 79.65.
- FloridaBlue does not have an HD Plan G that I could find.
- I am healthy to the best of my knowledge but I don’t really go to the doctor and don’t get sick and don't take any medication. I know I should have at least basic labwork done but that is another discussion so no judgment.
- I can afford the Plan G monthly payment and will also ensure I have savings to cover the “Maximum out of pocket” should I opt for the HD Plan G.
My understanding from the other posts and comments:
- I have determined that the best way to think about the HD is “Out of Pocket Maximum” which is $2950 and exactly what it says on the website.
- I have determined that there would need to be significant expenses before the $2950 is reached. $13788.6 if my math is correct.
- I have determined that for the Plan G, you are paying a higher monthly payment and if there were to be a more expensive health event, that at this point the Plan G and the HD Plan G is a wash.
- I have determined that when the difference between the two plans is high, the HD Plan G is optimal. In my case, the difference is about $230 per month hence my questions about HD Plan G as this is about $2760 yearly.
- And finally I have realized that the biggest benefit to the HD Plan G is that for a healthier person, they could save the difference between the Plan G and the HD Plan G premiums for a future health event.
My Quesitons:
- So my question is there any downside to the HD Plan G, given my specific information above? One of the comments in the other posts was that the billing can be onerous for the HD Plan G and billing is not an issue for the Plan G because the insurance takes care of everything (after the $283 maximum out of pocket). Is billing that bad to manage for the HD Part G?
- Are there any other considerations (pro or con) I might not have thought of or that I missed that were discussed in the other posts/comments?
Thanks in advance. 😀